Gynaecological Issues – What Women Need to Know

Whether it is endometriosis, fibroids or cervical cancer, different gynaecological problems produce similar symptoms. And while gynaecological symptoms can cause distress - there is normally no need for alarm. But women need to know the difference and, until now, that was difficult for them to do.

The symptoms are unpleasant and can also cause anxiety in case it is ‘something more sinister’. News stories, especially involving ‘celebs’ such as Jade Goody, do nothing to relieve the pressure, and people naturally always worry that it could be the worst case scenario. Therefore, getting diagnosed will not just be the initial path to finding the right solution, but will also remove unnecessary stress.

totalhealth provides the essential expert knowledge to ensure that women have access to the right information can put things in the correct context and where necessary - take action.

Endometriosis – A common cause of gynaecological distress

One of the most common conditions is endometriosis, Mr Ertan Saridogan Consultant in Gynaecology, Reproductive Medicine and Minimal Access Surgery at the University College London Hospitals (UCLH) and the Portland Hospital, describes in his article - written in plain English - what endometriosis is, the different treatment options and their relative benefits. It should be read by anyone worried about endometriosis because every woman is different and therefore every woman needs to be aware of the diagnostic and treatment implications. This totalhealth article will provide women with essential background reading and professional knowledge into the sort of information they should seek prior to agreeing their own planned procedure. It’s about being involved, ‘patient choice’ and facilitating ‘informed decision making’.

What is Endometriosis?

Endometriosis is defined as the presence of tissue or cells from the lining of the womb (endometrium) elsewhere in the body.  It is most commonly found around the uterus and ovaries, but it can be located anywhere in the body except the spleen. In the ovary endometriosis can form cysts containing old blood, also known as chocolate cysts (endometrioma) due to the colour of the contents. When it is in the pelvis it may affect the bowel and the urinary tract (bladder and kidneys). Occasionally it is found in the navel or operation scars. When the tissue from the lining of uterus is found in the muscle layer of the uterus it is called adenomyosis. Sometimes endometriosis and adenomyosis can be found together in the same woman.

What is the choice?

Consultant Gynaecologist, Mr Saridogan provides an excellent overview of the different diagnostic and treatment options. He explains what is involved and the differences between the medical and surgical approaches. He also stresses the need for having a multidisciplinary approach i.e. having the benefit of all relevant skills in place – for the benefit of the patient.

Why is this important?

Patients need to know the nature of this common condition, the implications and the different management plans that can be adopted. Endometriosis is a potentially chronic condition which may have a significant impact on a woman’s quality of life and fertility. A multidisciplinary approach placing the woman at the centre of decision making is the best method of management. Of greatest importance, individualised treatments to address the symptoms, needs and expectations are likely to achieve more satisfactory results.

About Consultant Gynaecologist Ertan Saridogan

Mr Saridogan is a Consultant in Gynaecology, Reproductive Medicine and Minimal Access Surgery at the University College London Hospitals (UCLH) and The Portland Hospital. He is currently the Lead Clinician and Person Responsible for the Reproductive Medicine Unit at the UCLH. His clinical interests include laparoscopic and hysteroscopic surgery, particularly for patients with subfertility, endometriosis and outpatient hysteroscopy. Mr Saridogan believes in practicing what he preaches; “I am a believer in the philosophy of ‘patient-centred’ practice, I believe in enabling women to decide on their own management plan.” This is important in an era of ‘patient choice’.

About totalhealth

totalhealth is a patient focused medical education website. This unique, impartial and authoritative title publishes information on the latest treatment options and is written by clinical experts - for patients.


For further information or to speak to Ertan Saridogan , please contact.